HomeMy WebLinkAbout10-29-10NOTICE OF INHERITANCE TAX
BUREAU OF INDIVIDUAL TAxES ~~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
INHERITANCE TAX DIVISION OF DEDU'QTIONS AND ASSESSMENT OF TAX
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HARRISBURG PA 17128-0601
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RICHARD CZAME(~~h,~i -~~_ ~~_~~
121 E COUNTRYSIDE DR
BOILING SPRINGS PA 17007-9445
tl) 139,900.00
t2) .00
C3) .00
c4) .00
t5) 1, 107.00
Cs) 379.00
t7) .00
CUT ALONG THIS LINE --- __RETAIN LOWER PORTION FOR YOUR RECORDS ~-- ______________
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REV-1547 EX AFP C12-09~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF: CZARNECKI LEONARD FFILE N0.:21 10-0578 ACN: 101 DATE: 10-25-2010
TAx RETURN WAS: C X) ACCEPTED AS FILED t ) CHANGED
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H)
10. Debts/Mortgage Liabilities/Liens tSchedule I)
Pennsylvania ~ ~
DEPARTMENT OF REVENUE
REV-1547 EX AFP (12-09) r~
NOTE: To ensure proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
Cs) 141 , 386.00
c9) 2b .860.00
clo) 26,969.00
tll) 53,829.00
11. Total Deductions 557.00
87
12. Net Value of Tax Return C12) ,
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) (13) .0 0
14. Net Value of Estate Subject to Tax t14) 87,557.00
NOTE: If an assessment was issued Previously, lines 14, 15 and/or 16, 17, 18 and 19 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate
16. Amount of Line 14 taxable at Lineal/Class A rate
17. Amount of Line 14 at Sibling rate
18. Amount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAY (`DCIITTC.
t15) .00 x 00 = .00
(16) 87 .557.00 x 045 = 3, 940.00
C17) _ 00 x 12 = . 00
tls) .00 x 15 = .00
t19)= 3,940.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID C-) AMOUNT PAID
08-25-2010 CD013250 .00 3,940.00
TOTAL TAX PAYMENT 3,940.00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE
FOR CALCULATION OF ADDITIONAL INTEREST. A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.
DATE 10-25-2010
ESTATE OF CZARNECKI LEONARD F
DATE OF DEATH 12-17-2009
FILE NUMBER 21 10-0578
COUNTY CUMBERLAND
ACN 101
APPEAL DATE: 12-24-2010
(See reverse side under Objections
Amount Remitted~-
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
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